Accident Detail Receipt
Date And Time 02-May-2018 / 3:30 pm
Place of Accident Savalde village NH- 3 Hay way Road Spid Brekar Tal shirpur Dist.dhule
CR NO/ TAR No/ SDE NO Shirpur PS cr no/ 34/2018 IPC 279,337,427 MV Act.184,134/177
Name of the Injured/ Deceased 1.Farid khan gulsher Khan Pathan age -52 2. Archana Vilas Sonar
Name of The Hospital to which he/she was removed Cottage Hospital Shirpur Dist.dhule
Number of vehicle and type of the vehicle Mal Track HMV- MP-09-HF-7096 S T Bus- MH-14-BT-0065
Name of address of driver of the vehicle with perticuler ordriving license of the said driver and the address of the issuing Authority of the said driver license. The number of badge in case of public service vehicle and the address of the issuing Authority of the said badge. Deepak Sukhlal Ji Add- 28 k simrol Indore mp RTO -INDORE L NO-MP09R-2016-0340264 Valid-31-05-2019 (TR) 13-01-2035 (NTR)
Name of the owner of the vehicle as it stand on the date of the accident Gopal Das Ramnath ji Khandelwal Add- 155 Transport Nagar Indore
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. Future Generali India Insurance company limited indor
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate cover note no-h7623006
Action Taken if any, and the result thereof. Conversation ,Agrument
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